“…It should be noted that the motor ability of children with SMD is severely compromised and support is often needed for them to complete daily activities; this was an important fact in the development of Movakic. The expert group concluded that in this group of children, motor abilities are mostly based on support from other persons through facilitation of movement and support through assistive devices in combination with activity of the child (Mensch, Rameckers, Echteld, Penning, and Evenhuis, ). As was shown in this latter study, the tests available to evaluate motor abilities, applicable to children with motor disabilities, did not allow for manual support.…”